Student Evaluation of Practicum Experience Form Concordia University Social Work Practicum Program. Learning Opportunities
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1 Student Evaluation of Practicum Experience Form Concordia University Social Work Practicum Program Date: Agency Name: Field Instructor Name: Field Instructor Job Title: Student Name: Semester(s) and Year: Learning Opportunities 1. What social work role or position in this agency did you have the opportunity to most thoroughly learn (e.g. case manager, community outreach coordinator, family advocate, etc.)? 2. Check each of the following activities that you experienced in this practicum placement. Put a * by the three things you did the most. Working with Individuals Working with Families Working with Groups Assessments Making Referrals Crisis Intervention Case Management Writing Case Notes Community Organizing Political (Policy) Advocacy Program Development Grant Writing Administration Budgeting Interagency Relations Research/Program Evaluation Recruiting/Training/ Supervising Volunteers Teaching Working with Children Working with Adolescents Working with Adults Working with Older Adults 1
2 (Please continue on next page.) 2
3 Quality of Field Instruction and Supervision Please circle the answer that most closely reflects your experience in this practicum placement. 3. How would you describe the clarity of your responsibilities at this practicum site? I was often in doubt about I was fairly clear about I always knew what was what was expected of me. what was expected of me. expected of me. 4. How would you describe the extent to which your field instructor helped match your practicum activities to your stated learning goals? I received little support I was generally supported I was strongly supported in integrating my in integrating my in integrating my activities & learning goals. activities & learning goals. activities & learning goals. 5. How would you describe your field instructor s ability to communicate a general understanding of the social work profession? 6. How would you describe your field instructor s ability to teach social work practice skills? 7. How would you describe your field instructor s ability to communicate the connection between theory and practice? 8. How would you describe your field instructor s ability to relate your practicum experience to content from your social work courses (i.e. help you integrate your classroom and field experiences)? (Please continue on next page.) 3
4 9. How would you describe the extent to which your field instructor encouraged you to ask questions and express your own views? Rarely Sometimes Often 10. How would you describe the extent to which your field instructor encouraged you to consider more than one view of or approach to situations? Rarely Sometimes Often 11. How often did you meet for supervision (i.e. to discuss student experiences and provide feedback)? As needed, usually less than once per week. Regularly scheduled, less than once per week. As needed, at least once per week. Regularly scheduled, at least once per week. 12. How would you describe the value of the supervision provided by your field instructor? Of little value. Of moderate value. Of great value. 13. How would you describe the usefulness of feedback you received from your field instructor during your practicum evaluation? Not very useful. Somewhat useful. Very useful. 14. How would you describe the value of your contacts with staff members other than your field instructor? Of little value. Of moderate value. Of great value. 15. In general, how would you rate this field instructor s teaching ability? Poor Fair Adequate Good Excellent (Please continue on next page.) 4
5 16. In general, how would you rate this agency as a site for student learning? Poor Fair Adequate Good Excellent 17. What did you like best about your practicum? 18. What suggestions would you make for improving this practicum site? 19. Are there any other social workers at this agency who you would highly recommend as a potential field instructor for future students? Please include their name, job title, and contact information if you have it. Thank you for completing this evaluation. The feedback you have provided will be made available to future social work students. It will also be used to help us develop and maintain effective practicum placements. 5
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